TY - JOUR T1 - Emphysematous Cystitis: A Case Report Emphysematous Cystitis AU - User, Neşe Nur AU - Ertekin, Ayse PY - 2019 DA - April DO - 10.33706/jemcr.551142 JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 65 EP - 67 VL - 10 IS - 2 LA - en AB - Introduction: Emphysematous cystitis (EC) is an infectious cystitis characterized by gas formation in the urinarytract and usually caused by gas forming Escherichia coli or Klebsiella pneumoniae strains.The gas accumulates in the bladder wall can be seen by computerizedtomography (CT). Therefore, CT is used foraccurate diagnosis.Case Report: A 69-year-olddiabetic man hadlung adenocarcinoma presented by abdominal painfor a week. He had type 2 diabetes mellitus for two years and he received firstchemotherapy cure approximately three weeks before. The patient was oriented,afebrile and normotensive. On physical examination, he has only suprapubictenderness. Abdomino-pelvic CT was performed, and it showed that bladder wall was diffuselythickened, with the largest measurement of 18 mm. Accumulation of the air within thebladder wall was detected. The result of urine culture revealed more than 20.000colonies of Klebsiella pneumonia. Thepatient was diagnosed with emphysematous cystitis thenhe was hospitalized, andintravenous piperacillin/tazobactam treatment was initiated. Conclusion: It is very important to make a definite diagnosis inEC. EC should be kept in mind in diabetic patients withabdominal pain. KW - Emphysematous cystitis KW - Computed tomography CR - 1. Gheonea IA, Stoica Z, Bondari S. Emphysematous cystitis: case report and imaging features. Curr Health Sci J. 2012; 38: 191–4. CR - 2. Tzou K, Chiang Y. Emphysematous Cystitis. N Engl J Med. 2016; 375(18): 1779. CR - 3. Taşdemir C, Çimen S, Kahraman B, Sağır Kahraman A, Özaydoğdu Çimen A, Turunçet A, et al. A rare cause of acute abdominal pain and gross hematuria: Emphysematous cystitis. The New Journal of Urology. 2016; 11(1): 38-40. CR - 4. Ergün T, Eldem HO, Lakadamyalı H. A rare cause of acute lower abdominal pain: Emphysematous cystitis. Turk J Urol. 2014; 40: 65– 7. CR - 5. Tagci S, Ozden C, Gokkaya CS, Aktas BK, Bulut S. Emphysematous cystitis: a case report. J Clin Anal Med. 2016; 7(1): 138-40. CR - 6. Zeytin AT, Tok S, Kadıoğlu E, Kulan MS. Emphysematous cystitis: A rare cause of abdominal pain. CausaPedia. 2013; 2: 652-5. CR - 7. Affes N, Bahloul A, Dammek Y, Kallel H, Mzali R, Beyrouti MI. A diabetic patient in septic shock. Emphysematous cystitis. CJEM. 2010; 12: 527-40. CR - 8. Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. DABJU Int. 2007; 100: 17-20. CR - 9. Toyota N, Ogawa D, Ishii K, Hirata K, Wada J, Shikata K, et al. Emphysematous cystitis in a patient with type 2 diabetes mellitus. Acta Med Okayama. 2011; 65: 129-33. CR - 10. Tagowski M, Kamusella P, Andresen R. A rare cause of abdominal pain: emphysematous cystitis. Rofo. 2013; 184: 998-9. CR - 11. Amano M, Shimizu T. Emphysematous cystitis: a review of the literature. Intern Med. 2014; 53: 79-82. CR - 12. Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore). 2007; 861: 47-53. UR - https://doi.org/10.33706/jemcr.551142 L1 - https://dergipark.org.tr/tr/download/article-file/690978 ER -